| Doctor Name: | MS. NINA A. WHITE |
| NPI Number: | 1104845965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D.,LMHC,LPC,NCC |
| License Number: | LMH6619 |
| Business Practice Address: | 8303 Office Park Dr B Douglasville, GA - 301346935 |
| Business Phone Number: | 6788388333 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1111, HIRAM |
| State: | GA |
| Postal Code: | 301411111 |
| Phone Number: | 6788388333 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 01/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LMH6619 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |